Mr. Etienne Clement Poufong
NP | Nurse Practitioner - Psych/Mental Health
1001 - Mountlake Terrace, Mountlake Terrace
Washington, 98043-7510
469-321-9543
Mr. Etienne Clement Poufong is a Mountlake Terrace, Washington based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Mr. Etienne Clement Poufong is AP61426687 for Psych/Mental Health in Washington. His current practice location is 1001 - Mountlake Terrace, Mountlake Terrace. Patients can reach him at 469-321-9543. Mr. Etienne Clement Poufong is NP with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1023626959.
Mr. Etienne Clement Poufong provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mr. Etienne Clement Poufong speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Etienne Clement Poufong |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Male |
| Credentials: | NP |
| Practice Address: | 1001 - Mountlake Terrace, Mountlake Terrace,
Washington, 98043-7510 |
| Phone: | 469-321-9543 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1023626959 |
| NPI Enumeration Date: | 16 Jul, 2020 |
| NPI Last Update On: | 25 Jun, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Etienne Clement Poufong are as mentioned below.
| License Number | Specialization | State | Status | |
| AP61426687 | Psych/Mental Health | Washington | Primary | |
| AP146155 | Psych/Mental Health | Texas | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Etienne Clement Poufong
708 Clement Dr,
Cedar Hill, Texas |
| Zip: | 75104-7352 |
| Phone Number: | 469-321-9543 |
| Fax Number: | 817-471-3269 |
Patients can reach Mr. Etienne Clement Poufong at
1001 - Mountlake Terrace, Mountlake Terrace, Washington or can
call to book an appointment on 469-321-9543.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.